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ICD-10 Guide
ICD-10 CodesQ72.40

Q72.40

Billable

Longitudinal reduction defect of unspecified femur

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q72.40 is a billable code used to indicate a diagnosis of longitudinal reduction defect of unspecified femur.

Key Diagnostic Point:

Longitudinal reduction defects of the femur are congenital malformations characterized by the incomplete development or absence of a portion of the femur, which can lead to significant functional impairment and deformity. These defects can vary in severity, affecting the length and shape of the femur, and may result in limb length discrepancies, altered gait patterns, and associated musculoskeletal issues. The condition is often identified during prenatal ultrasounds or shortly after birth. Management typically involves a multidisciplinary approach, including orthopedic intervention, physical therapy, and possibly surgical correction, depending on the severity of the defect. Early diagnosis and intervention are crucial for optimizing functional outcomes and improving the quality of life for affected individuals. The condition may occur in isolation or as part of a syndrome, necessitating thorough genetic evaluation and counseling.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the defect
  • Potential association with other congenital anomalies
  • Need for detailed clinical documentation to support coding
  • Differentiation from other limb reduction defects

Audit Risk Factors

  • Inadequate documentation of the defect's severity
  • Failure to document associated conditions or syndromes
  • Incorrect coding of related procedures
  • Lack of follow-up documentation for ongoing treatment

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes describing the defect, treatment plans, and follow-up assessments are essential. Documentation should include the child's growth and development milestones.

Common Clinical Scenarios

A pediatric patient presents with a limb length discrepancy; imaging reveals a longitudinal reduction defect of the femur. The child may require orthopedic evaluation and potential surgical intervention.

Billing Considerations

Pediatric coders must be aware of the developmental implications of femur defects and ensure that all related conditions are documented.

Genetics

Documentation Requirements

Genetic testing results, family history, and any syndromic associations must be documented to support the diagnosis and coding.

Common Clinical Scenarios

A child with a longitudinal reduction defect is evaluated for potential genetic syndromes, requiring a comprehensive genetic assessment.

Billing Considerations

Genetic coders should consider the implications of chromosomal abnormalities that may co-occur with limb defects.

Coding Guidelines

Inclusion Criteria

Use Q72.40 When
  • 10 guidelines specify that congenital conditions should be coded based on the specific defect and any associated conditions
  • Documentation must support the diagnosis and any interventions performed

Exclusion Criteria

Do NOT use Q72.40 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27500CPT Code

Open reduction of femur fracture

Clinical Scenario

Used in cases where surgical intervention is required for correction of the femur defect.

Documentation Requirements

Surgical notes detailing the procedure, indications, and post-operative care.

Specialty Considerations

Orthopedic specialists must ensure accurate coding of the procedure in relation to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. Q72.40 provides a clear designation for longitudinal reduction defects, facilitating better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. Q72.40 provides a clear designation for longitudinal reduction defects, facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

reimbursement processes. Q72.40 provides a clear designation for longitudinal reduction defects, facilitating better tracking of treatment outcomes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding Q72.40 accurately?

Accurate coding of Q72.40 is crucial for ensuring appropriate reimbursement, tracking treatment outcomes, and facilitating research on congenital limb defects. It also aids in the identification of associated conditions that may require additional management.